nRunning head: NURSING THEORY 1 Nursing Theory Akwasi Agyemang Chamberlain College of Nursing NR501: Theoretical Basis For Advanced Nursing Practice May 2015 NURSING THEORY Nurses can use nursing theory as tool to help guide their practice. I personally define nursing theory as the mechanism that guide nurses and provide explanation to nursing interventions. It is defined by Croyle (2012) as an organized and systematic articulation of a set of statements related to questions in the discipline of nursing. The theories guide nursing practice and provide a foundation for clinical decision making. In the past, nurses were seen as assistive personnels and were often described as handmaiden to physician (Croyle, 2012).
The core concept of nursing is the diversity in healthcare settings dealt with the disparity between theorist of Florence Nothingale and Jean Watson. Florence Nothingale environment theory and metaparadigms will help establish the criteria which identify where and when nurse apply the core concept of nursing practice on a daily basis. Jean Watson theory is the philosophy and science of caring which is interrelated theories of Florence nightingale concepts. To understand these theory we have to understand the core concept of knowledge that will establish the path of explanations and give the meaning of a phenomena of nursing practice. These nursing practices must base on nursing theories we are using in the clinical setting of practice.
The theory has undergone evolution for several years, but its root principal remains outstanding. The theory stresses on the concept of humanistic issue of nursing in conjunction to scientific knowledge. She modeled the theory in a way that it clearly brings out the implication and focus to nursing as a different health line of work. She believed that caring is a backing and support of the identity of nurses (Delaune, 2002). She added on that the identity of medicine is that of caring because nurses deal with patients and medicines; the same should describe their character.
The focus of this essay will be on the nurse-patient relationship concept, which I have chosen as I wanted to achieve a better understanding of how a beneficial nurse-patient relationship can be developed from the perspective of different theorists who have explored this concept. In this essay, I hope to demonstrate what I have learnt about the nurse-patient relationship concept and how it can be used in clinical practice. This essay has four main parts. In part one I will have defined the word, concept, by using references from different nursing theorists. Also, in part one; I have explored how the nurse- patient relationship concept has been conceptualised by theorists, such as Richard McMahon (1998) and Hildegard Peplau (1988).
Bringing together education and healing was a life-changing experience that made me realize that nursing is my true calling. Traditionally, nurses were viewed as caregivers. In today’s world, image of nursing profession changes as nurses play many other roles such as patient’s advocates, educators, managers, team members, facilitators, and experts. (Zerwekh, 2006). As I read the entries from my reflective journal, I could see how my focus shifted from assisting patient with his basic needs at the beginning of the nursing school to more comprehensive nursing care today.
Introduction The progress of modern nursing has developed along with, and embracing, the ideas of “wholeness”, “holism” and “holistic” in both a theoretical and practical setting (Kim, 2007). The underlying concept, according to the American Holistic Nursing Association (AHNA, 2011) is that holistic nursing is, “...all nursing practice that has healing the whole person as it’s goal”. This essay will identify the basic principle of, as well discuss, modern day holistic nursing practice with regard to holistic assessment and will address the central constructs of spirituality, physical, emotional, social, cultural and psychological aspects of holistic nursing whilst also considering the “reductionist” bio-medical models that have been used in the past. Having discussed Holistic nursing practice the essay shall then look at Madeleine Leininger’s model, Cultural Care Diversity and Universality Theory, concerning Transcultural Nursing, which has been chosen as the topic for this essay because of its relevance and increasing importance to the nursing profession in a multicultural society. The essay will further look at the evolution and development of the theory along with its relevant features and intended aim and purpose.
She attributes the development of her theory to her personal views about nursing and her studies in psychology. Jean Watson’s Theory of Human Caring was developed in 1979. Her theory is well-known and used by nurses globally. As cited by Jesse (2010), Watson’s intention was “to bring meaning and focus for nursing as an emerging discipline and distinct health profession with unique values, knowledge, practices, ethics, and mission” (p. 112). Jean Watson’s theory is composed of the major concepts the first is carative factors, second a transpersonal relationship, and third the nurse-patient interaction, a caring moment.
Philosophy of Nursing In order to write a philosophy of nursing, I need to define the term “nursing philosophy” The dictionary provides a basic definition, it describes philosophy as the critical study of the basic principles of and concepts of a particular branch or knowledge, especially with a view to improving or reconstituting them. (Philosophy, 2015) My philosophy of nursing arises from my education, personal believes and from my experience working in health care. Nursing philosophy is a model that guides my thinking about observations and interpretations of events that occur due to interaction. The following four components are some of my every day nursing practice: nursing, patient, health, and environment. The first component of nursing practice is nursing.
Examine the research base for one aspect of nursing care and compare and contrast the recommendations found with the practice observed during your clinical placement. The overall aim of this essay is to explore an aspect of evidence based or best practice and compare the findings witnessed in a nursing environment. Conclusions will then be drawn from this process and recommendations made for proposed changes to practice where necessary. The Nursing and Midwifery Council state in The Code (NMC 2008a) that care must be delivered on the best available evidence or best practice. Research is the systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions (Oxford Dictionary 2011).
The five phase nursing process is a cyclical process which allows nurses to recognise the patient’s nursing diagnosis in order to plot appropriate care. These phases involve assessment, diagnosis, planning, implementation and evaluation (ADPIE). The assessment phase forms the foundation for appropriate diagnosis, planning and intervention (Ackley & Ladwig, 2014 p. 3). Evaluation of nursing care allows for reassessments, restructuring of priorities and continuing review of care plan if the needs of the patient are not met (Davies and Janosik, 1991 p99; Brooker and Waugh, 2013 p304). Nurses need to be able to document a complete, systematic, and precise